Organization Active NPI

Oakcrest Operating LLC

  • Skilled Nursing Facility
  • Austin, TX
National Provider Identifier
1912359407
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAKCREST OPERATING LLC
Practice address
9808 Crofford LN
Austin, TX 78724-1004
Phone
(512) 272-5511
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nana Peleg
Title
Manager
Phone
(786) 253-6934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

9808 Crofford LN
Austin, TX 78724-1004

Mailing address

9808 Crofford LN
Austin, TX 78724-1004
Phone (512) 272-5511

Other names 1

  • OakCrest Nursing and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161011002695 TX Part A Provider - Skilled Nursing Facility 0749578565 Practice locations: Austin, TX

Skilled nursing facility certification: CCN 676291

Legal name
OAKCREST OPERATING LLC
Doing business as
OAKCREST NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 31, 2011
Last certification
Jul 17, 2024
Beds
67
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
9808 Crofford LN
Austin, TX 78724-1004
Nursing home name
OAKCREST NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oakcrest Nursing and Rehabilitation CenterCCN 676291
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 31, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6762.9 residents per day on average
Penalties (3 years)
2Fines totaling $31,959

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pedro Zamora Individual Adp of the SNF Feb 1, 2023
Royal Blue Property Management LLC Organization, Boca Raton, FL LLC Adp of the SNF Sep 9, 2016
James Chudleigh Individual Adp of the SNF Sep 1, 2016
Helmut Herzog Individual Adp of the SNF Sep 9, 2016
Nana Peleg Individual 5% Or Greater Direct Ownership InterestMember Jun 10, 2016 100%
Operational/Managerial Control Sep 9, 2016
Adp of the SNF Sep 9, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1912359407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 CROFFORD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787241004",
            "telephone_number": "512-272-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 CROFFORD LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787241004",
            "telephone_number": "512-272-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKCREST OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "PELEG",
        "authorized_official_first_name": "NANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-253-6934"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OakCrest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.